January 22, 2013 marks the 40th anniversary of Roe v. Wade, the landmark Supreme Court decision that made access to abortion a constitutionally protected right. Instead of celebrating this milestone, however, abortion rights activists find themselves on the defensive. In the four decades since the high court’s historic ruling, pro-choice activists have been steadily losing ground to their pro-life opponents. The result is that in many parts of the country today, it is harder to access abortion services than at any time since Roe v. Wade was decided in 1973.

Pro-life activists have pursued a multi-pronged strategy to reduce the number of abortion providers in the U.S. and make it more difficult and more expensive for women to access the procedure. In 2008, there were 38% fewer abortion providers in the U.S. than in 1982.

Today, there are four states that have just a single surgical abortion provider: North Dakota, South Dakota, Arkansas and Mississippi. The facility featured in these photographs, the Red River Women’s Clinic in Fargo, ND, is one such provider. Doctors who work at the clinic perform 20 to 25 abortions every week and women travel to Red River from across North Dakota, nearby Minnesota and Canada.

Photographer Jamie Chung traveled to Fargo in late 2012 as part of a TIME cover story documenting the state of abortion rights in America. His photographs offer a rare glimpse at the delivery of abortion services inside a clinic, 40 years after Roe v. Wade.

until I saw the paycheck ov 6738, I have faith ...that...my neighbour was like actually receiving money in there spare time at their laptop.. there friend brother has been doing this less than seven months and just now cleard the depts on there home and bourt a great Mercedes. read pie21.ℂom

Perhaps we can consider the 38% statistic as the result of women across the country becoming increasingly informed and aware of the long-term consequences of abortion. These consequences are serious and grim, and range from psychological and emotional harm to a marked increase in cervical cancers and a possible link to breast cancer. Beyond these repercussions, the fact remains that a life has been terminated. As a country, we have appropriately grieved and honored the lives of the more than 3,000 men and women killed in the war in Iraq, yet how many more thousands of lives have been voluntarily ended by abortion?